Physical Medicine and Rehabilitation An Introduction PM&R Interest Group at UMDNJ-New Jersey Medical...
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Transcript of Physical Medicine and Rehabilitation An Introduction PM&R Interest Group at UMDNJ-New Jersey Medical...
![Page 1: Physical Medicine and Rehabilitation An Introduction PM&R Interest Group at UMDNJ-New Jersey Medical School *All images may.](https://reader034.fdocuments.net/reader034/viewer/2022051316/56649dbc5503460f94aaef5b/html5/thumbnails/1.jpg)
Physical Medicine and Rehabilitation
An Introduction
PM&R Interest Group at
UMDNJ-New Jersey Medical Schoolhttp://njms.pbwiki.com/PMRIG
*All images may be subjected to copyright by their original owners
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Basics
• Physical Medicine and Rehabilitationo PM&R
• related terminologyo physiatry / physiatrist (fiz•zee•AT•trist)
o rehabilitation medicineo interventional physiatry
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What is PM&R?
"Branch of medicine emphasizing prevention, diagnosis, and treatment of
disorders – particularly related to nerves, muscles, and bones – that may produce
temporary or permanent impairment."
- American Academy of PM&R
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In Other Words…
"Rehabilitation physicians are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move."
- American Academy of PM&R
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Another Laymen’s Definition
"A branch of medicine which aims to enhance and restore functional ability and
quality of life to those with physical impairments or disabilities."
- Wikipedia.org
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Quick Clarification
• Impairmento anatomical or physiological dysfunction
• Disabilityo unable to perform a human activity
• Handicap o unable to meet a societal role
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A Very Brief History
established: approved as med specialty in 1947
consolidated & expanded: post-WWII
defined: principles formulated during post-WWI
origin: as early as heat/cold modalities used for health benefits
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Common Conditions
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Evaluation
physical exam and imaging
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Evaluation
nerve conduction study
electromyography
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Problem List
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Problem ListSome Solutions
Orthoses
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Some Solutions
electrical stimulation
thickening mix
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Some Solutions
Gait Training
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Some Solutions
botox
manualtherapy
baclofenpump
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Some Solutions
heat/cold
transcutaneous electrical nerve stimulation
watertherapy
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Some Solutions
prostheses
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Goal
-= Overall Enhancement =-
Maximizeo Independenceo Dignityo Quality of Life
physical psychological
social vocationaleducational
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Task at Hand
1. Optimize Function
2. Pain Relief
3. Prevent & Manage Complications
4. Coordinate Care
above all,
5. Educate Patients
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Day in the Life of a
Physiatrist…
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Practice Settings
InpatientHospital Unit
Free-Standing Rehab
Acute Rehab
Nursing Home OutpatientHospital Clinic
Free-Standing Rehab
Acute Rehab
Private Office
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Sample Inpatient Experience
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Sample Outpatient Experience
• Amputee• Wound Care• Spasticity• Musculoskeletal• Stroke
• EMG & NCS• Pain• Ortho-Rehab• Spine• General• Pediatric• Arthritis• Fibromyalgia• Spina Bifida
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Interdisciplinary Team
Medical Professionals
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Interdisciplinary Team (cont’d)
Allied Health Professionals
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TransitionalPreliminary
PM&R Residency
Categorical PGY-
1
PGY-
2
PGY-
3
PGY-
4
Option A Option B Option C
Fellowship
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Fellowships
Electrodiagnostic Medicine
Hospice and Palliative Medicine*
Interventional Spine
Neuromuscular Medicine*
Pain Medicine*
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Fellowships (cont’d)
Pediatric Rehabilitation*
Spinal Cord Injury*
Sports Medicine*
Traumatic Brain Injury
Stroke
etc…
* denotes sub-specializations formally recognized by AAPMR
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Lots of Work Ahead
Aging Population
Decreasing Injury Mortality
High Healthcare Costs
Innovative Technology
New Applications
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Additional Resources
American Academy of Physical Medicine & Rehabilitation
www.aapmr.org
Association of Academic Physiatrists
www.physiatry.org
Archives of Physical Medicine and Rehabilitation
www.archives-pmr.org
American Congress of Rehabilitation Medicine
www.acrm.org